566 results match your criteria: "Hospital Universitari Parc Tauli.[Affiliation]"

Article Synopsis
  • VEXAS syndrome is an adult-onset autoinflammatory disease caused by postzygotic genetic variants, affecting males with symptoms like skin lesions, fever, and arthritis at a mean age of 67.5 years.
  • In a study of 42 patients, 30 were identified with pathogenic genetic variants and showed varying degrees of glucocorticoid dependence for symptom management.
  • The research revealed that these variants were present in both blood and non-blood tissues, challenging the previous understanding that these genetic changes were limited to myeloid (blood) cells.
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Purpose: Clinical practice guidelines recommend that all patients with metastatic colorectal cancer (mCRC) should be tested for mismatch repair deficiency (dMMR) or microsatellite instability-high (MSI-H). We aimed to describe the dMMR/MSI-H testing practice in patients with mCRC in Spanish centers.

Methods: Multicenter, observational retrospective study that included patients newly diagnosed with mCRC or who progressed to a metastatic stage from early/localized stages.

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Antiphospholipid antibodies (APLA) are strongly associated with thrombosis seen in patients with antiphospholipid syndrome. In COVID-19, thrombosis has been observed as one of the main comorbidities. In patients hospitalised for COVID-19, we want to check whether APLA positivity is associated with COVID-19-related thrombosis, inflammation, severity of disease, or long COVID-19.

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Background: Anaphylaxis is rising in prevalence among children. The current recommendations on the effective transition of anaphylaxis management to adolescents and young adults suggest preparation for the transition may be considered at 11-13 years of age in accordance with the patient's developmental stage. However, there has been limited research conducted on the perspective of caregivers regarding the transition of anaphylaxis management to their children.

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Introduction: The management of patients with prostate cancer (PCa) is established in clinical practice guidelines, which are based on randomized studies according to the level of evidence. In Spain, the degree of compliance with these guidelines in clinical practice is unknown.

Objectives: To describe the profiles of PCa patients at the time of diagnosis and the management of patients with localized PCa and those with BCR in Spain.

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Reducing the duration of antibiotic therapy in surgical patients through a specific nationwide antimicrobial stewardship program. A prospective, interventional cohort study.

Int J Antimicrob Agents

November 2023

Centro de Investigación Biomédica en Red de Enfermedades Infecciosas CIBERINFEC, Instituto Carlos III, Madrid, Spain; Infectious Diseases Service, Hospital del Mar; Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Universitat Pompeu Fabra (UPF), Barcelona, Spain.

Background: Guidelines recommend 5-7 days of antibiotic treatment in patients with surgical infection and adequate source control. This nationwide stewardship intervention aimed to reduce the duration of treatments in surgical patients to <7 days.

Methods: Prospective cohort study evaluating surgical patients receiving antibiotics ≥7 days in 32 hospitals.

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Article Synopsis
  • - The study aimed to compare the clinical features and treatment responses of patients with the TNFRSF1A-pR92Q variant to those with classical TRAPS, PFAPA, and SURF, using data from the Eurofever registry.
  • - 361 patients were analyzed, revealing that pR92Q variant patients typically had an older onset of disease and shared more similarities with SURF patients, while classical TRAPS patients exhibited distinct traits like migratory rash and familial history.
  • - Despite some differences in symptoms, all patient groups responded similarly to treatment, with steroids being the most commonly prescribed and effective; this suggests the need for a revised approach to diagnosing and managing pR92Q variant patients.
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Article Synopsis
  • Major depression disorder (MDD) and bipolar disorder (BD) often occur alongside substance use disorders (SUD), leading to increased cognitive impairment in affected individuals, known as dual disorder (DD).
  • A review of 19 studies revealed that cognitive deficits in patients with BD+SUD mainly impacted attention and executive functions, while similar patterns were observed for MDD+SUD.
  • Further research is required to standardize understanding of how depression affects cognitive performance in DD patients, considering factors like substance type and individual characteristics, to enhance treatment approaches.
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Article Synopsis
  • TNF inhibitors, commonly used for treating inflammatory diseases, can cause unexpected skin reactions, with psoriasis being the most prevalent.* -
  • A study examined 30 patients who developed skin issues like psoriasis, alopecia, or dermatitis while on TNF inhibitors, finding that 43.3% continued their treatment with significant improvement.* -
  • Switching to biologics with different mechanisms was more successful in resolving symptoms, suggesting that treatment plans may not always need to change drastically for effective management of these reactions.*
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Background And Objective: The data in clinical practice regarding the effectiveness and safety of brodalumab in psoriasis are scarce, especially at scalp and palmoplantar locations. The main objective was the percentage of patients achieving absolute PASI ≤3/ ≤1/ =0 for plaque psoriasis and the percentage of patients achieving an IGA 0-1/IGA 0 for the special locations at Week 52 of treatment.

Patients And Methods: Observational retrospective multicentre study in 28 Spanish Hospitals that included adult patients with plaque psoriasis treated with brodalumab, from September 2018 until March 2021.

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Rapid Reduction of HbA1c and Early Worsening of Diabetic Retinopathy: A Real-world Population-Based Study in Subjects With Type 2 Diabetes.

Diabetes Care

September 2023

Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas asociadas (CIBERDEM), Instituto de Salud Carlos III, Madrid, Spain.

Objective: Early worsening of diabetic retinopathy (EWDR) due to the rapid decrease of blood glucose levels is a concern in diabetes treatment. The aim of the current study is to evaluate whether this is an important issue in subjects with type 2 diabetes with mild or moderate nonproliferative DR (NPDR), who represent the vast majority of subjects with DR attended in primary care.

Research Design And Methods: This is a retrospective nested case-control study of subjects with type 2 diabetes and previous mild or moderate NPDR.

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Article Synopsis
  • A multicenter study in Spain examined the potential benefits of dapagliflozin for patients with heart failure (HF) with mildly reduced or preserved ejection fraction.
  • Out of 4049 patients over 50 years old, 80.8% met the criteria for dapagliflozin treatment, with significant rates of rehospitalization (22.2%) and mortality (21.6%) within a year after discharge.
  • The use of dapagliflozin is projected to reduce the absolute risk of mortality by 1.3% and HF readmissions by 5.1%, indicating a potential to lessen the burden of HF in these patients.
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Article Synopsis
  • A study was conducted to compare low tidal volume (V) versus intermediate V ventilation strategies in patients at risk for acute respiratory distress syndrome (ARDS) to see which one better prevents lung complications.
  • The trial involved 98 patients who were randomly assigned to either low V (≤ 6 mL/kg) or intermediate V (> 8 mL/kg) settings for invasive ventilation, with the primary focus on ARDS development over the first week.
  • Results indicated no significant difference in ARDS incidence, pneumonia, atelectasis, or length of ICU stay between the two groups, leading to the conclusion that a low V strategy does not offer advantages over an intermediate V strategy for these patients.
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Malignancies in Prader-Willi Syndrome: Results From a Large International Cohort and Literature Review.

J Clin Endocrinol Metab

November 2023

Department of Internal Medicine, Division of Endocrinology, Erasmus Medical Center, University Medical Centre Rotterdam, 3015 GD Rotterdam, The Netherlands.

Context: Prader-Willi syndrome (PWS) is a complex disorder combining hypothalamic dysfunction, neurodevelopmental delay, hypotonia, and hyperphagia with risk of obesity and its complications. PWS is caused by the loss of expression of the PWS critical region, a cluster of paternally expressed genes on chromosome 15q11.2-q13.

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Autosomal dominant polycystic kidney disease in young adults.

Clin Kidney J

June 2023

Inherited Kidney Diseases, Nephrology Department, Fundació Puigvert, Institut d'Investigació Biomèdica Sant Pau (IIB-SANT PAU), Universitat Autònoma de Barcelona, Barcelona, Spain.

Article Synopsis
  • The study focuses on the clinical features of autosomal dominant polycystic kidney disease (ADPKD) in young adults aged 18-30, highlighting their morbidity despite the disease typically appearing in adulthood.
  • In a cohort of 346 young adults, the average age of hypertension diagnosis was just over 21, with a prevalence of 28%, which increased with age.
  • The findings suggest that young adults with ADPKD experience significant health issues, underscoring the importance of early detection and management of hypertension in this group.
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The European Association of Urology currently recommends the use of risk-organized models to decrease the demand of prebiopsy magnetic resonance imaging (MRI) and unnecessary prostate biopsies in men with suspected prostate cancer (CaP). Low evidence suggests that men with prostate-specific antigen >10 ng/ml and an abnormal digital rectal examination (DRE) do not benefit from prebiopsy MRI and targeted biopsies. We aim to validate this low evidence in a sizable cohort and knowing how many clinically significant CaP (csCaP) would go undetected if only random biopsies were performed in these cases.

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Article Synopsis
  • The study investigates whether antibiotic therapy is necessary for low-risk catheter-related bloodstream infections (CRBSI) caused by coagulase-negative staphylococci (CoNS) after catheter removal.
  • Conducted in 14 Spanish hospitals, the trial randomized 27 patients—15 received no antibiotics while 12 received standard antibiotic treatment—focusing on complications and recovery time over 90 days.
  • Results showed that one patient in the non-antibiotic group developed a complication, suggesting that low-risk CRBSI due to CoNS might be safely managed without antibiotics, although the trial was halted due to low participant numbers.
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Background: Patients with metastatic colorectal cancer (mCRC) and KRAS mutations have a poor prognosis, seemingly dependent on the location of the mutation. This multicenter, retrospective, cohort study assessed the frequency and prognostic value of specific KRAS mutation codon locations in mCRC patients, and survival outcomes in relation to treatment.

Materials And Methods: Data from mCRC patients treated in 10 Spanish hospitals between January 2011 and December 2015 were analyzed.

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